US6789284B2 - Inflatable support - Google Patents
Inflatable support Download PDFInfo
- Publication number
- US6789284B2 US6789284B2 US10/311,202 US31120202A US6789284B2 US 6789284 B2 US6789284 B2 US 6789284B2 US 31120202 A US31120202 A US 31120202A US 6789284 B2 US6789284 B2 US 6789284B2
- Authority
- US
- United States
- Prior art keywords
- pressure
- cell
- inflatable support
- support
- inflatable
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05769—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers
- A61G7/05776—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers with at least two groups of alternately inflated chambers
Definitions
- the invention relates to an inflatable support for the prevention and treatment of pressure sores.
- Pressure sores are a condition of progressive tissue death caused primarily by the combination of pressure and shear forces on the human body particularly in the regions of the bony prominences such as ischials, trochanter and heels. These forces act by reducing or stopping the microcirculatory function bringing fresh nutrients (including oxygen) to and removing waste products from the soft tissues underlying the skin. Pressure sores are always debilitating, can often be fatal and even with optimum intervention take from weeks to months to completely heal. The resulting costs for a developed nation (including NATRA, EU, Australasia, Japan) range from £100 m to £600 m annually.
- Pressure relieving or reducing supports are provided both in mattress form for lying on and seat product form supporting the buttocks and sometimes the back in operation. All of these support products use different technologies but can be put into two categories by the way they deal with the problem of lowering the pressures imposed on the vulnerable bony prominences (which are at highest risk of pressure sores) by supporting the weight of the human body.
- Pressure reducing products work by moulding themselves around the shape of that part of the human body in contact with them, creating the largest contact area and therefore lowering the contact pressures.
- the technologies used include foam, static air filled bags, gel filled bags, water mattresses and waterbeds. These may be used alone or in combination and include fluidising fine silica beads to create a liquid like substance supporting the body by Archimedes principle of upthrust and displacement balance used for burns patients.
- the alternative concept is that of pressure relief where the part of the body in contact with the mattress or seating product is supported only partially with the contact points being removed in location over time by raising and lowering each part of the product in a predetermined sequence.
- This principle is invariably implemented using air to inflate or deflate bladders called cells within the product in the predetermined sequence required.
- Such products are commonly referred to as alternating air products.
- These static or alternating air based pressure sore mattress and seating products form the largest and most clinically effective (in alternating form) part of all such products.
- the pressures imposed by an air mattress on the body are called interface pressures and are a function of the internal or operating pressure of the system. If internal pressure is too low than the parts of body supported touch the base below. But too high a pressure and pressure sores may develop. The majority of people associate lower pressures with more comfort. Patient perception of comfort is important to obtain high compliance and optimum sleep patterns for faster healing.
- operating pressure has to be optimised for an individual patient and is dependent on spatial distribution of patient body density over the area in contact with the mattress or seating product and varies with each patient and their position on the mattress.
- Gap setting adjustment involves setting operating pressure to get clearance of two or three fingers width or palm thickness between the lowest part of the patients body and the mattress or seat base. This is physically intrusive for the patient and difficult or impossible with most mattress designs due to obstructions of parts of the inflated structure.
- Some alternating systems provide semi-automatic operating pressure setting by means of additional sensors either under the mattress or within the mattress to indicate when the patient is at risk of bottoming and to control the pump to re-inflate the mattress.
- the invention provides a simple system that, among other advantages, removes the need for manual control of the operating pressure of alternating air mattresses or static systems and automatically sets the correct operating pressure upon use by the user; and resets the operating pressure and maintains the same dependent on change of position of the user or mattress.
- the invention provides an inflatable support for a user comprising one or more inflatable cells inflated with fluid from a source to a set pressure, means for venting at least one cell through a known restrictor and measuring the pressure change over time, control means converting this pressure change time value into a mathematical coefficient and comparing with known experimental data, and selecting or determining the optimum support pressure and adjusting the source output to provide the optimum support pressure.
- An advantage of the invention is that it uses existing cell air and pressure sensors without adding any components into the mattress. There are no sensors in the mattress, thereby any inflatable mattress is suitable for use in practicing the invention.
- the cell(s) are vented once every cycle of inflation and deflation in an alternating system for continuous monitoring and resetting of the optimum support pressure.
- the means for venting at least one of the cells is actuated during the deflation cycle.
- the venting means may be actuated during the inflation cycle.
- the cell air is vented through a series of restrictors, or more preferably a variable restrictor.
- control means includes compiled experimental data of pressure decay with time and associated mathematical coefficients for a large number of users with different body anatomies, on different mattresses and cushions and with differing initial set pressures. More preferably, the control means adds new patient anatomy types and corresponding mathematical coefficient not present in the known experimental data.
- the inflatable support may have an additional anti-bottoming sensor to allow for lower overall operating pressures, for greater user comfort.
- the anti-bottoming sensor may comprise a sensor mat as described in commonly-owned European Patent No. 560563, the entire content of which is hereby incorporated by reference.
- the inflatable support may be controlled by remote means connected to the control means.
- FIG. 1 is a schematic view of a preferred embodiment of a support surface in accordance with the present invention.
- FIG. 2 is a schematic view of a support surface according to another preferred embodiment of the invention.
- FIG. 3 is a circuit diagram of a remote control device suitable for operating a support according to the invention.
- a support surface 10 includes a series of inflatable cells 30 , 40 inflated alternately by a compressor 11 by means of either a rotor stator or a solenoid arrangement 20 .
- the cells 30 , 40 may be exhausted via exhaust port 50 , the exhaust port incorporates a restrictor 60 of known diameter.
- a gauge pressure transducer 70 measures the cell 30 , 40 pressure.
- the support surface is inflated to a set pressure, say 35 mmHg.
- the cells 30 , 40 are respectively alternatively inflated and deflated by means of a rotor stator or solenoid 20 in a cycle typically lasting 10 minutes. At least some of the cells 30 , 40 during their deflating cycle are then exhausted through the exhaust port 50 and the cell pressure decay over a time of say 90 seconds is monitored prior to full deflation of the cells. Thus the impact of loss of pressure in the cells 30 , 40 in terms of user comfort is minimal.
- a microprocessor calculates the mathematical function related to the cell pressure decay with time, and compares the value with the compiled experimental mathematical function data and adjusts the output of the compressor accordingly. These values have been collated by experiment by measuring cell pressure decay over time from set operating pressures for different anatomies of users and mattresses.
- the sequence of exhausting via port 50 may be repeated at every inflation/deflation cycle and the pressure decay monitored and compared with the known data. Any changes in coefficient values are automatically translated as adjustments in compressor output to provide a new operating pressure. In this way, any change in the person's position, e.g., lying on their back to their side or sitting is accommodated by the cell pressure automatically being adjusted to prevent bottoming or high interface pressures.
- the principle works equally if the cell pressure-time relationship is monitored during the inflation cycle of the cells 30 , 40 instead of deflation, as described above.
- FIG. 2 shows a support surface 10 consisting of inflatable cells 100 which are inflated constantly by means of a compressor 130 of known output.
- a gauge pressure transducer 150 measures the cell pressure in the fluid lines 160 leading to the cells 100 .
- the cells are inflated to a set pressure of say 30 mmHG and then the cell pressure decay over time through a known restrictor is monitored.
- the value is translated to a mathematical coefficient which is compared to similar data compiled within the microprocessor for such a mattress with different anatomy of users and operating pressures and the compressor output adjusted to provide an operating pressure correlating to the coefficient value.
- This coefficient correlation of the cell pressure change-time relationship for a given individual user anatomy and operating pressure has been found to be to be consistent in providing optimum support pressure over a wide range to cover all human anatomical variation.
- monitoring the pressure change to adjust compressor output may be replaced by monitoring flow rate change that may also be compared to the relevant experimental data.
- the invention provides a support surface automatically providing optimum support pressure taking into account user's anatomy without any input from the user.
- This optimum pressure may be made more optimum to provide greater comfort to the user by having an additional anti-bottoming sensor located under the support.
- a typical anti-bottoming sensor as described in commonly-owned European Patent No. 560563 comprises a mat which ensures that the support is inflated sufficiently to prevent bottoming of the user i.e. touching the base under the support.
- the user may also be able to control the support comfort by means of a remote control for adjusting the support pressure, but which would not compromise the therapy set by the caregiver.
- the remote control 80 comprises a series of switches 81 that can be low voltage, and can be connected in parallel to the membrane control panel and duplicating their operation.
- the switches 81 are connected by a wire or set of wires 83 to the pump via a connector 82 .
- the connector 82 could comprise, for example, a telephone jack or similar device.
- a digital signal is seen at the connector 82 from state 0 (e.g. 0V) to state 1 (e.g. 5V). This signal can be input into the microcontroller or control system in the pump interpreted and the corresponding action taken.
- the remote control 80 is low cost, self powered and physically connected to the pump.
- connection system 82 further allows connection to a bed frame as the remote control 80 could have switches 81 to adjust bed position as well as the support comfort control.
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- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Invalid Beds And Related Equipment (AREA)
- Mattresses And Other Support Structures For Chairs And Beds (AREA)
- Materials For Medical Uses (AREA)
- Massaging Devices (AREA)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0030210A GB2369775B (en) | 2000-12-09 | 2000-12-09 | Inflatable support |
GB0030210 | 2000-12-09 | ||
PCT/GB2001/005418 WO2002045641A1 (en) | 2000-12-09 | 2001-12-07 | Inflatable support |
Publications (2)
Publication Number | Publication Date |
---|---|
US20030145386A1 US20030145386A1 (en) | 2003-08-07 |
US6789284B2 true US6789284B2 (en) | 2004-09-14 |
Family
ID=9904874
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/311,202 Expired - Lifetime US6789284B2 (en) | 2000-12-09 | 2001-12-07 | Inflatable support |
Country Status (14)
Country | Link |
---|---|
US (1) | US6789284B2 (ja) |
EP (1) | EP1253900B1 (ja) |
JP (1) | JP4685330B2 (ja) |
KR (1) | KR100730803B1 (ja) |
CN (1) | CN1188096C (ja) |
AT (1) | ATE462393T1 (ja) |
AU (1) | AU777265B2 (ja) |
DE (1) | DE60141682D1 (ja) |
DK (1) | DK1253900T3 (ja) |
GB (1) | GB2369775B (ja) |
NZ (1) | NZ520599A (ja) |
TW (1) | TW515712B (ja) |
WO (1) | WO2002045641A1 (ja) |
ZA (1) | ZA200205563B (ja) |
Cited By (31)
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US20050262639A1 (en) * | 2004-05-28 | 2005-12-01 | Life Support Technologies | Apparatus and methods for preventing pressure ulcers in bedfast patients |
US20070161933A1 (en) * | 2005-10-27 | 2007-07-12 | Sundaram Ravikumar | Compression garment with heel elevation |
US20080022461A1 (en) * | 2006-07-26 | 2008-01-31 | Kci Licensing, Inc., Legal Department, Intellectual Property | Patient support with welded materials |
US20080256715A1 (en) * | 2007-04-17 | 2008-10-23 | Jones Unlimited | Mattress shaping apparatus |
US20090246449A1 (en) * | 2008-03-25 | 2009-10-01 | Gaymar Industries, Inc. | Gelastic material having variable or same hardness and balanced, independent buckling in a mattress system |
WO2009123641A1 (en) * | 2008-04-04 | 2009-10-08 | Select Comfort Corporation | System and method for improved pressure adjustment |
US20100205750A1 (en) * | 2007-10-12 | 2010-08-19 | Roho, Inc. | Inflatable cellular mattress with alternating zones of inflated cells |
US7815668B2 (en) | 2002-07-03 | 2010-10-19 | Life Support Technologies, Inc. | Methods and apparatus for light therapy |
US7849545B2 (en) | 2006-11-14 | 2010-12-14 | Hill-Rom Industries Sa | Control system for hospital bed mattress |
US7849544B2 (en) | 2007-06-18 | 2010-12-14 | Hill-Rom Industries Sa | Support device of the mattress type comprising a heterogeneous inflatable structure |
US20110087142A1 (en) * | 2005-10-27 | 2011-04-14 | Sun Scientific, Inc. | Compression garments with heel elevation |
US8090478B2 (en) | 2005-06-10 | 2012-01-03 | Hill-Rom Services, Inc. | Control for pressurized bladder in a patient support apparatus |
US8104126B2 (en) * | 2007-10-18 | 2012-01-31 | Hill-Rom Industries Sa | Method of inflating, in alternating manner, a support device having inflatable cells, and a device for implementing the method |
US8251057B2 (en) | 2003-06-30 | 2012-08-28 | Life Support Technologies, Inc. | Hyperbaric chamber control and/or monitoring system and methods for using the same |
US8607387B2 (en) | 2006-11-20 | 2013-12-17 | Stryker Corporation | Multi-walled gelastic mattress system |
US20140047645A1 (en) * | 2011-12-05 | 2014-02-20 | Ceragem Cellupedic. Co., Ltd | Mattress and method of adjusting pressure of mattress |
EP2735293A1 (en) * | 2012-11-27 | 2014-05-28 | MKS Innovatech S.r.l. | Apparatus with inflatable mattress and method for supporting a patient with said apparatus |
US8893339B2 (en) | 2013-03-14 | 2014-11-25 | Select Comfort Corporation | System and method for adjusting settings of a bed with a remote control |
US9033906B2 (en) | 2010-08-12 | 2015-05-19 | Sun Scientific, Inc. | Therapeutic compression apparatus |
USD737327S1 (en) | 2013-06-17 | 2015-08-25 | Covidien Lp | Display screen with a transitional leak detection icon |
USD737328S1 (en) | 2013-06-17 | 2015-08-25 | Covidien Lp | Display screen with graphical user interface for venous refill detection |
USD737855S1 (en) | 2013-06-17 | 2015-09-01 | Covidien Lp | Display screen with a transitional venous refill detection icon |
US9138064B2 (en) | 2013-01-18 | 2015-09-22 | Fxi, Inc. | Mattress with combination of pressure redistribution and internal air flow guides |
US20160030276A1 (en) * | 2014-08-01 | 2016-02-04 | Jonathon Spanyer | Spinal Support Device |
USD760728S1 (en) | 2013-06-17 | 2016-07-05 | Covidien Lp | Display screen with graphical user interface for patient use meter reset |
US9392875B2 (en) | 2013-01-18 | 2016-07-19 | Fxi, Inc. | Body support system with combination of pressure redistribution and internal air flow guide(s) for withdrawing heat and moisture away from body reclining on support surface of body support system |
US9468307B2 (en) | 2012-09-05 | 2016-10-18 | Stryker Corporation | Inflatable mattress and control methods |
USD774057S1 (en) | 2013-06-17 | 2016-12-13 | Covidien Lp | Display screen with a graphical user interface for compliance monitoring |
US9591995B2 (en) | 2006-09-06 | 2017-03-14 | J. Seth Blumberg | Digital bed system |
US10413464B2 (en) | 2015-05-05 | 2019-09-17 | Hill-Rom Services, Inc. | Multi-mode sacral unloading pressure relief in a patient support surface |
US11618348B2 (en) | 2020-05-26 | 2023-04-04 | Honda Motor Co., Ltd. | Systems and methods of adjusting the hardness of a passenger seat |
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GB2472819A (en) * | 2009-08-19 | 2011-02-23 | Mjs Healthcare Ltd | A support with a layer of inflatable cells wherein different groups of cells can simultaneously be inflated or deflated |
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- 2001-12-07 JP JP2002547427A patent/JP4685330B2/ja not_active Expired - Lifetime
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- 2001-12-07 DK DK01999339.3T patent/DK1253900T3/da active
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Also Published As
Publication number | Publication date |
---|---|
TW515712B (en) | 2003-01-01 |
GB2369775A (en) | 2002-06-12 |
KR100730803B1 (ko) | 2007-06-20 |
NZ520599A (en) | 2004-05-28 |
JP2004514540A (ja) | 2004-05-20 |
DK1253900T3 (da) | 2010-07-19 |
US20030145386A1 (en) | 2003-08-07 |
ZA200205563B (en) | 2005-07-27 |
WO2002045641A1 (en) | 2002-06-13 |
DE60141682D1 (de) | 2010-05-12 |
GB0030210D0 (en) | 2001-01-24 |
GB2369775B (en) | 2003-05-28 |
CN1188096C (zh) | 2005-02-09 |
EP1253900B1 (en) | 2010-03-31 |
AU2091002A (en) | 2002-06-18 |
JP4685330B2 (ja) | 2011-05-18 |
ATE462393T1 (de) | 2010-04-15 |
CN1398175A (zh) | 2003-02-19 |
AU777265B2 (en) | 2004-10-07 |
KR20020086495A (ko) | 2002-11-18 |
EP1253900A1 (en) | 2002-11-06 |
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